| NPI | 1962671370 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD E NEAL Owner 406-727-4322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: MT 1907) |
| Enumeration Date | 2008-02-29 |
| Last Update Date | 2009-05-12 |